Individual provider Active NPI

Makaela Breithaupt, APRN, DNP

  • Family Nurse Practitioner
  • Hopkinsville, KY
National Provider Identifier
1194530238
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4026908 Issued in KY
Practice address
1102 S Virginia St
Hopkinsville, KY 42240-3579
Phone
(270) 886-5186
NPI assigned
Feb 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4026908 KY Primary

Addresses

Primary practice location

1102 S Virginia St
Hopkinsville, KY 42240-3579

Mailing address

2634 Donaldson Creek Rd
Cadiz, KY 42211-9411
Phone (270) 350-3647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312000333 KY Practitioner - Nurse Practitioner 9032630611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennyroyal Healthcare Services, IncGroup PAC ID 6002076700, 11 clinicians

Practice addresses (Care Compare)

1102 S Virginia St
Hopkinsville, KY 42240-3579
Phone (270) 632-6741

Hospital & facility affiliations

  • Jennie Stuart Medical Center Hospital, Hopkinsville, KY, CCN 180051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4026908KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pennyroyal Healthcare Services, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Pennyroyal Healthcare Services, Inc CurrentSince Mar 1, 2025 Accepting new patients

Locations

1102 S Virginia St
Hopkinsville, KY 42240
Phone (270) 707-1160

244 Thompsonville Ln
Oak Grove, KY 42262
Phone (270) 632-6743

1022 W Main St
Princeton, KY 42445
Phone (270) 365-0227

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1194530238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 DONALDSON CREEK RD",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422119411",
            "telephone_number": "270-350-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 S VIRGINIA ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422403579",
            "telephone_number": "270-886-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITHAUPT",
        "first_name": "MAKAELA",
        "credential": "APRN, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4026908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.